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1811106891 NPI number — ATARAH EVE MARTIN SIDEY M.D.

NPI Number: 1811106891
Health Care Provider/Practitioner: ATARAH EVE MARTIN SIDEY M.D.

Information about “1811106891” NPI (ATARAH EVE MARTIN SIDEY M.D.) exists in 1811106891 in HTML format HTML  |  1811106891 in plain Text format TXT  |  1811106891 in PDF (Portable Document Format) PDF  |  1811106891 in an XML format XML  formats.

NPI Number : 1811106891 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811106891",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIDEY",
    "FirstName": "ATARAH",
    "MiddleName": "EVE MARTIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARTIN",
    "OtherFirstName": "ATARAH",
    "OtherMiddleName": "EVE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3800 EASTSIDE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEVENSVILLE",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59870-2221",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-777-2775",
    "MailingAddressFaxNumber": "406-777-2796",
    "FirstLinePracticeLocationAddress": "3800 EASTSIDE HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STEVENSVILLE",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59870-2221",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-777-2775",
    "PracticeLocationAddressFaxNumber": "406-777-2796",
    "EnumerationDate": "05/22/2007",
    "LastUpdateDate": "04/25/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "MD29451",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208D00000X",
          "TaxonomyName": "General Practice Physician",
          "LicenseNumber": "LL16337",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "77537",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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